Carol Crouch-Ross MD PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

4301064192 Issued in MI

Legal business name

CAROL CROUCH-ROSS MD PLLC

Practice address

19811 Farmington Rd
Livonia, MI 48152-1444

Phone

(248) 888-0088

Fax

(248) 888-0060

NPI assigned

Jul 25, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carol D. Crouch-Ross, M.D.NPI 1053466946

Title

Ceo/Owner

Phone

(248) 888-0088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Denise Crouch-Ross, MD

  • Child & Adolescent Psychiatry Physician
  • Livonia, MI
  • NPI 1053466946
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1588910707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19811 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521444",
            "telephone_number": "248-888-0088",
            "fax_number": "248-888-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19811 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521444",
            "telephone_number": "248-888-0088",
            "fax_number": "248-888-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL CROUCH-ROSS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "CROUCH-ROSS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "248-888-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301064192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Home Health Services, Inc.
• Carl E. Lipnik, MD PC
• Carlos a Godoy M D P C
• Sarah Carlson, M.A, CCC-SLP
• Jordan Carney
• Auzja Carothers
• Alan James Carotta Jr., M.A., LLP
• Carrie Lauren Carozza, M.D.
• Charisse Clorine Carpenter
• Jill Carpenter, MSW

• Child & Adolescent Psychiatry Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Child & Adolescent Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.